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Quality Expert
AQuity Solutions India
posted 15d ago
Job Role Insights
Flexible timing
Key skills for the job
Job Description
- Minimum 2 years of experience in RCM domain in US Health, preferably in Quality Auditor/Expert capacity in Billing.
- Expertise in medical billing end to end RCM.
- Knowledge on EPIC, eCW, NextGen, IMS, Raintree applications is an added advantage.
- Strong knowledge of Billing and understanding of Medical records. Should have strong understanding of medical billing terms.
- Should have strong verbal and written communication skills.
- Monitor and analyze RCM process errors
- Audit error corrections both short and long term
- Quantify error rates and their trends individually, by team, by client, and by client pool
- Analyze the errors to build training materials and tests
- Create automation solutions to reduce error rates
- Should be able to identify and report issues front end/client that have resulted in delay in authorization
- Responsible for call/data quality monitoring
- Provide feedback to agents using the prescribed feedback model
- Mentoring and coaching agents on process-level issues
- Monitor adherence to compliance procedures and processes
- Responsible for reporting program-level quality scores to the process owners
- Responsible for conducting calibration and performance review calls in terms of quality with clients as well as the internal team
- Conduct refresher training on the basis of the errors identified
- Perform weekly analysis aiming at improving SLA
- Perform brainstorming and root cause analysis to analyze data and provide tips or suggestions to the operation/management team
- Identify and highlight potential risk areas and recommend preventive action
- Maintaining a robust monitoring system to ensure key program metrics are adhered to and the required level of quality is maintained across the board
Employment Type: Full Time, Permanent
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People are getting interviews at AQuity Solutions India through
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(based on 26 AQuity Solutions India interviews)
Referral
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Job Portal
Campus Placement
Company Website
23%
19%
19%
15%
12%
12% candidates got the interview through other sources.
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What people at AQuity Solutions India are saying
What AQuity Solutions India employees are saying about work life
based on 306 employees
Flexible timing
Monday to Friday
No travel
Night Shift
AQuity Solutions India Benefits
Submitted by Company
Employee Engagement Referral Bonus Free Transport 
Cafeteria Work From Home
Submitted by Employees
View more benefits 
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AQuity Solutions India Mumbai Office Location
Mumbai, Maharashtra Office
Headquarter
Reliable Plaza, 1st Floor, Unit No. 103, Plot No K 10, Kalwa Industrial Area, Village – Elthen, Taluka & Dist Thane, Airoli, Navi Mumbai
Mumbai, Maharashtra
400708
400708
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